Saint Lukes Home Care

The home health provider failed to ensure staff followed the bag technique procedure in one of three home visits (Record/Patient #1).

The home health provider failed to ensure the individualized plan of care contained the types of services, supplies, and equipment required to meet the needs of their patients in two of five records reviewed (Records/Patients #2 and #4).

The agency failed to assure all patients received a complete comprehensive assessment that provided the home health agency with a complete picture of the patient’s status to assist the HHA (home health agency) in developing the patient’s plan of care, including but not limited to, assessment of the…

The home health agency (HHA) failed to ensure care was provided as written in the individualized plan of care in one (Record/Patient #3) of three home visit observations conducted.

The agency failed to use standard precautions to prevent the transmission of infections and communicable diseases in one (Record/Patient #1) of three home visit observations and failed to screen visitors/non-employees for COVID-19 (pandemic infection) who entered the home health agency office.

The home health agency (HHA) failed to ensure skilled professional services (nursing service) was delivered according to accepted professional standards in one (Record/Patient #3) of three home visit observations conducted.

The agency failed to ensure staff provided the written notice of the updated state toll free home health telephone hotline hours of operation (7:00 AM to 8:00 PM, seven days a week) in the admission booklet.

The agency failed to update the written notice of patient rights to meet the requirements of the federal home health regulations to include the name, address and phone number of the current Quality Improvement Organization (QIO) that serves the area where the patient resides.

The agency failed to ensure the patient's current health needs and psychosocial status was assessed and documented in one (Patient/Record #1) of five records reviewed.

The home health agency (HHA) failed to ensure an effective review of all medications the patient is currently using in order to identify ineffective drug therapy, and noncompliance with drug therapy in one (Record/Patient #3) of five full records reviewed.

The home health agency failed to ensure a written visit schedule was available to the patient in, but not limited to, one (Record/Patient #3) of three home visit observations conducted.

The home health agency failed to ensure written care instructions were available to the patient in one (Record/Patient #3) of three home visit observations conducted.

The home health agency (HHA) failed to ensure the name and contact information of the HHA clinical manager was available to the patient in, but not limited to, one (Record/Patient #3) of three home visit observations conducted.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to ensure that the registered nurse (RN) prepared a complete home health aide (HHA) assignment in two (Records/Patients #4 and #5) of two patient records reviewed where HHA services were received.

The agency failed to ensure that a complete and accurate patient specific comprehensive assessment reflected the patient's current health, psychosocial, functional and cognitive status in two (Records/Patients #4 and #5) of six cases reviewed.

The agency failed to ensure that the comprehensive assessment included a complete and accurate review of the patient's medication regimen by the registered nurse (RN) in, but not limited to, one (Record/Patient #3) of six charts reviewed.

The agency failed to ensure effective ongoing interdisciplinary assessment of the patient in, but not limited to, one (Record/Patient #4) of six cases reviewed.

The agency failed to ensure that all clinical staff provided services as ordered in the plan of care (POC) in, but not limited to, two (Records/Patients #4 and #5) of six records reviewed.

The agency failed to ensure that the home health aide (HHA) documented/ provided care that was consistent with state reglations and HHA training in one (Record/Patient #5) of two aplicable records.

The agency failed to ensure that the home health aide (HHA) reported changes in the patient's condition in one (Record/Patient #5) of two applicable cases.

The agency failed to ensure that all staff had completed the criminal disclosure statement in two (Employees E3 and E4) of six employee files reviewed.

The agency met the condition of participation when the agency failed to ensure: - A complete plan of care (POC) (G574); - Services follow the POC as ordered by the physician (G580); - An accurate visit schedule, including frequency of visits by agency personnel was maintained in the patients' home…

The agency failed to ensure infection control prevention in one of two home visit observations completed (Patient/Record #3).

Complaint record review and interview the agency failed to document the existence of a complaint and resolution in one (Complaint #1) of five complaints reviewed.

Refer to Federal Tag G 484

The agency failed to ensure the development of a complete/accurate plan of care (POC) in four(Records/Patients # 1, #2, #3 and #4) of four records reviewed.

The agency failed to ensure conformance with physician's orders included on the plan of care (POC) in, but not limited to, two (Records/Patients #1 and #4) of four records reviewed.

The agency failed to provide the patient and all primary caregivers with a copy of written instructions outlining the visit schedule, including frequency of visits by agency personnel, in a manner that proved to be an effective method of communication, in two (Records/Patients #2 and #3) of three…

The agency failed to provide the patient and primary caregiver with a written copy of the medication profile and instructions, including: medication name, dosage and frequency, and which medications would be administered by agency personnel, in two (Records/Patients #2 and #3) of two applicable…

The agency failed to provide the patient and primary caregiver with a written copy of the plan of care (POC), to include any treatments to be administered by agency personnel, including therapy services in one (Record/Patient #3) of two applicable home visit observations conducted.